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" • . ENGINEERING DEPARTMENT <br />BUILDING PERMIT ?tIFORMATION <br />ADDRESS -% C( Z�`.� • u.i .��C._.�� ) 1�((�� TYPE '� r` I;: . <br />1) BUILDING PERMIT FEE �. =_„ n«� ��' $ / 3Co, �2� <br />(A) PLAN CHECK FEE - ��`-�`G ^ $ <br />2) 4iATER SERVICE TO BE PAID BEFO?2E BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETERtdINED BY PLBGe, ZNSPe � INCH <br />(B) EXIST. WATER SERVICE, APPL. N0. <br />$ 2po� � <br />I�c. p�L�, 2 S. oa <br />����, � < < n� <br />(C) APPROXe LOCATION ��" C S �.PPtzc�- lZ_ '�T E4s.-� <br />o� � c� W. G ��.� ��iZ , CHART �9J - LQ- l , <br />3) n3ZVES�AY PERMIT TO BE PAID $EFORE BUILDING .-rj <br />PER:dIT IS ZSSUED 25 FTe SPh��L�/W (TYPE) $ f�L� �` <br />�t, -r.�l •L > <br />� TOTAL* $ 3g� � �� <br />4) S;YTUS OF SES9ER CHARGES: <br />BO:dD�_ DISTRICT�_ FOOTAGE <br />N, S, E, W. <br />SEWER CONSTRUCTION: <br />5EWER SERVICE: <br />SEWER CONNECTION CHARG£S: <br />XEAR � -1 TRUNIt <br />L l/J .� 9 C� LATERAL <br />TOTAL CONNECTION CHAP,GE <br />SEWER• PERI�:TT FEE <br />CATCH BASZP7 2ERI�SIT FEE <br />TOTAL SE�v�R PERDiIT FEES <br />TRUNR <br />$ �� , mG <br />$ ` <br />$ �(i�r , .po <br />$ 3D• v_� <br />$ <br />S 30 00 <br />$ Or 7i0 <br />Y.HTERAL $ -- <br />S'�.'�O <br />APPRJS. LOC?1TION OF SIDE SBWER OR TEE IN THE MAIN: G�7Etrv� [�r�Pr'E�x <br />2�LFT .�-� ok- N, cU ce��� tii�;i� C-cY �� ,I�s-f',l�C�,r 5 r- r"Dcta� _ <br />L�-r- '(�R��7-Y4 C_.l �� CHART 5— /'"L - ' - <br />INFO �J>:PILED BYe DATE <br />REVI£ii: D�TE <br />� 2ROJECT5 DIVISION <br />APPRO�'�L: DATE <br />ENGINGERING DI:Y�:umra���T <br />